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Research Report DFE-RR179
Systematic review of
Solution Focused Brief
Therapy (SFBT) with
children and families
Kevin Woods, Caroline Bond, Neil Humphrey, Wendy
Symes
School of Education, University of Manchester
Lorraine Green
School of Nursing, Midwifery and Social Work, University
of Manchester
The views expressed in this report are the authors’ and do not necessarily
reflect those of the Department for Education.
Acknowledgements
The review team is most grateful for research assistance from Paul Armstrong, Irene Kapetanaki,
and Ismail Mamaniat.
The review team extends sincere thanks to members of the Review Advisory Group who provided
invaluable commentary upon the review coding framework, initial findings, and early drafts of this
report.
Review Advisory Group
Mawuli Amesu, Solution focused brief therapy consultant/ qualified social worker.
Colin Green, Director of Children’s Services, Coventry City Council.
David Jones, Department of Psychiatry, University of Oxford.
Paul Sambrooks, Children and Family Court Advisory and Support Service (CAFCASS)/ qualified
social worker
Janet Shucksmith, Professor in Public Health, University of Teesside.
The review team is also most grateful to the following people who were able to offer additional
advisory input and comment:
Dominic Bray, Chair UK Association of Solution Focused Practice, Clinical Health Psychologist.
Isabella Craig, Department for Education.
Jenny Gray, Department for Education.
Eileen Murphey, SFBT Consultant.
Greg Vinnicombe, SFBT Consultant.
Julie Wilkinson, Department for Education.
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Contents
Chapter Page
Executive summary 5
1 Introduction 14
1.1 Background to the review 14
1.2 Solution focused brief therapy in practice 15
1.3 Issues in the evaluation of solution focused brief therapy 17
1.4 Safeguarding children legislation and policy 19
1.5 Objectives of the review 22
2 Review methodology 23
2.1 Overview of the review methodology 23
2.2 Review stage 1: literature searching 24
2.3 Review stage 2: reference harvesting 25
2.4 Review stage 3: applications of inclusion criteria 26
2.5 Review stage 4: development of coding framework 27
2.6 Review stage 5: using the coding framework 30
2.7 Review stage 6: presentation and description of review findings 30
3 Findings 31
3.1 Overview of the quality, appropriateness and relevance of the review 31
studies
3.1.1 Quality of review studies 31
3.1.2 Methodological appropriateness of review studies 31
3.1.3 Focus of review studies 32
3.2 Best evidence on the effectiveness of SFBT 33
3.3 Studies focusing upon child protection and children in need 38
3.4 Cost effectiveness of SFBT 41
4 Discussion and implications 43
4.1 Introduction 43
4.2 What is the evidence for the effectiveness of SFBT in relation to 43
work with children and families? For what types of child and family
problems is SFBT found to be most effective?
4.3 What are the cost-benefits of SFBT in relation to work with children 47
and families?
4.4 What are the implications of the findings for the use of SFBT within 47
the English context where children are considered to be suffering or
likely to suffer significant harm?
4.5 What are the implications of these findings for local safeguarding 52
children boards (LSCBs) and for the training, supervision and
management of staff in particular those working in local authority
children's social care services?
References 56
Appendices 60
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